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TANGLEWOOD FAMILY MEDICAL CENTER PA
NPI 1659472306
Family Medicine in Derby, KS

Active since September 26, 2006CLIA 17D0450981 · Certificate of Compliance
606 MULBERRY RD, DERBY, KS 67037(316) 788-3787(316) 788-6930 Get Directions Write a Review

NPPES record last updated: October 21, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tanglewood Family Medical Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TANGLEWOOD FAMILY MEDICAL CENTER PA (NPI 1659472306) is a healthcare organization registered as a family medicine in Derby, Kansas and active in the NPI registry since September 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 14, 2027 and lists Lorianne Nighswonger, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1659472306
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTANGLEWOOD FAMILY MEDICAL CENTER PA
Location Address606 MULBERRY RDDerby, KS 67037-3532
Mailing Address606 Mulberry RdDerby, KS 67037-3532 · (316) 788-3787 · Fax (316) 788-6930
Phone(316) 788-3787
Fax(316) 788-6930
Organization SubpartNo
Authorized OfficialLorianne NighswongerOffice Manager · (316) 788-3787
Enumeration DateSeptember 26, 2006
Last NPPES UpdateOctober 21, 2008
✔ NPI 1659472306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
606 MULBERRY RD, Derby, KS 67037
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Other Identifiers 2

Medicare NSC1303200001KS
OtherP00099501KS · Medicare Railroad

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanglewood Family Medical Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Tanglewood Family Medical Center PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Constantine Panakos, DO
Family Practice
NPI 1114949179
606 N MULBERRY RD TANGLEWOOD MEDICAL CENTER, PA
Derby, KS 67037
(316) 788-3787
✔ PECOS✔ Accepts MedicareSame address
Glen Patton, DO
Family Practice
NPI 1922073337
606 MULBERRY RD
Derby, KS 67037
(316) 788-3787
✔ PECOSSame address
Catherine Vitosh, M.D.
Family Practice
NPI 1124181573
606 MULBERRY RD
Derby, KS 67037
(316) 788-3787
✔ PECOSSame address
Emily Shaffer, APRN
Nurse Practitioner
NPI 1720698772
4747 S BROADWAY AVE
Wichita, KS 67216
(316) 529-3084
✔ PECOS✔ Accepts Medicare6.3 mi
Micca Bentley, FNP-C
Nurse Practitioner
NPI 1609669308
822 N ANDOVER RD
Andover, KS 67002
(316) 247-5499
✔ PECOS✔ Accepts Medicare12 mi
Elizabeth Martin, APRN
Nurse Practitioner
NPI 1073090783
823 SW MULVANE ST
Topeka, KS 66606
(785) 354-9591
✔ PECOS✔ Accepts Medicare134 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 17D0450981

Tanglewood Medical Center PA · Derby, KS
Active · expires Dec 14, 2027
CLIA Number17D0450981
Laboratory TypePhysician Office
Certificate Effective DateDecember 15, 2025
Certificate Expiration DateDecember 14, 2027
Laboratory DirectorDr. Constantine Panakos
Laboratory Phone(316) 788-3787
Laboratory LocationTanglewood Medical Center PA606 N Mulberry Road, Derby, KS 67037
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tanglewood Family Medical Center PA's NPI number?

The NPI number for Tanglewood Family Medical Center PA is 1659472306. It was assigned to this organization in the NPPES registry on September 26, 2006.

Where is Tanglewood Family Medical Center PA located?

Tanglewood Family Medical Center PA is located at 606 Mulberry Rd, Derby, KS 67037. The listed phone number is (316) 788-3787.

What is Tanglewood Family Medical Center PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tanglewood Family Medical Center PA enrolled in Medicare?

Yes. Tanglewood Family Medical Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tanglewood Family Medical Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Tanglewood Family Medical Center PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3) and Nurse Practitioner (3). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tanglewood Family Medical Center PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 17D0450981) is associated with this NPI, valid through December 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tanglewood Family Medical Center PA accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. list Tanglewood Family Medical Center PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanglewood Family Medical Center PA was last updated on October 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.